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Individual

MARISSA LEIGH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8340 W DODGE RD STE 201, OMAHA, NE 68114-3417
(402) 769-4779
Mailing address
20269 BLONDO PKWY, ELKHORN, NE 68022-3014
(585) 313-1502

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3185
NE

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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